CEP Neurological Emergencies & Stroke Management 2

Question 1

Which type of stroke accounts for approximately 87% of all strokes?

Accepted Answer

Ischemic stroke

Answer

Ischemic stroke, caused by arterial occlusion (thrombotic or embolic), accounts for approximately 87% of all strokes.

Question 2

A patient who has had a seizure is now postictal. Appropriate prehospital management includes:

Accepted Answer

Placing in the recovery position and continuously monitoring airway, breathing, and circulation

Answer

During the postictal state, recovery positioning protects the airway while continuous ABCs monitoring guides further intervention; medications are reserved for recurring seizures.

Question 3

Todd's paralysis refers to:

Accepted Answer

Transient focal weakness following a seizure

Answer

Todd's paralysis is a temporary focal neurological deficit, most commonly weakness, following a focal seizure, typically resolving within 24 hours.

Question 4

A patient with suspected subarachnoid hemorrhage typically reports:

Accepted Answer

Sudden onset 'thunderclap' headache described as the worst of their life

Answer

Subarachnoid hemorrhage classically presents with a sudden-onset thunderclap headache — the worst headache of the patient's life — from blood rapidly filling the subarachnoid space.

Question 5

When transporting a patient with suspected acute ischemic stroke, you should:

Accepted Answer

Keep the head flat or at 15–30 degrees and transport rapidly to a stroke center

Answer

Current guidelines recommend supine or slight head elevation (15–30°) to maintain cerebral perfusion pressure during rapid transport to a stroke-capable facility.

(CEP) Certified Emergency Paramedic Practice Test

(CEP) Certified Emergency Paramedic Practice Test

CEP Neurological Emergencies & Stroke Management 2